Individual provider Active NPI

Alap Pradip Shah, M.D.

  • Family Medicine Physician
  • La Grange, IL
National Provider Identifier
1962664243
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036128347 Issued in IL
Practice address
1325 Community Memorial Dr
La Grange, IL 60525-2659
Phone
(708) 245-8900
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036128347 IL Primary

Addresses

Primary practice location

1325 Community Memorial Dr
La Grange, IL 60525-2659

Mailing address

1325 Community Memorial Dr
La Grange, IL 60525-2659

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alap.shah.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001889 IL Practitioner - Family Practice 0345476933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Midwest HealthGroup PAC ID 2769790401, 13 clinicians

Practice addresses (Care Compare)

1325 Community Memorial Dr
La Grange, IL 60525-2659
Phone (708) 245-8900

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-9000

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036128347ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Midwest Health CurrentSince Jun 28, 2016 Accepting new patients
Adventist Midwest Health Family Medicine CurrentSince Jun 28, 2016 Accepting new patients

Locations

5201 Willow Springs Rd
La Grange Highlands, IL 60525
Phone (630) 323-5214

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

1325 Memorial Dr
Lagrange Hlds, IL 60525
Phone (708) 245-8900

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

Interoperability endpoints

  • Direct secure messaging: alap.shah.1@380.direct.athenahealth.com
  • Direct secure messaging: ashah1240169@adventhealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1962664243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 COMMUNITY MEMORIAL DR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 COMMUNITY MEMORIAL DR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252659",
            "telephone_number": "708-245-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ALAP",
        "middle_name": "PRADIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alap.shah.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1325 Community Memorial Dr",
            "city": "LA Grange",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605252659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.